Sanchez-Cardenas M, Mammar N, Venisse J L
Unité des addictions du sujet jeune, CHRU de Nantes, Hôpital Saint-Jacques.
Psychiatr Enfant. 1994;37(1):153-78.
Based on their clinical experience, the authors investigate the possible links between early-age anorexia and adolescent anorexia. Although it is not common to find these two types of anorexia in the same person, the occurrence is found indeed. More often, anorexia at an early age has been described as occurring in offsprings of mothers who themselves had presented anorectic behaviors, either at an early age or in adolescence. The authors question the possible role of the psychopathology of mourning in the genesis of anorectic symptoms. They then proceed to some more general considerations on object relations observed in these cases. They suggest that a lack of integration of a satisfactory object relation may breed disturbances in relations and in symbolization of the type frequently observed in the semiology of early age or adolescent anorexia.
基于他们的临床经验，作者们研究了早发性厌食症与青少年厌食症之间可能存在的联系。虽然在同一个人身上发现这两种类型的厌食症并不常见，但确实有这种情况发生。更常见的是，早发性厌食症被描述为发生在母亲本身有厌食行为的后代身上，这些母亲的厌食行为要么发生在早年，要么发生在青春期。作者们质疑哀悼的精神病理学在厌食症状发生过程中可能扮演的角色。然后，他们对这些案例中观察到的客体关系进行了一些更一般性的思考。他们认为，缺乏令人满意的客体关系整合可能会导致关系紊乱以及在早发性或青少年厌食症症状学中经常观察到的那种象征化紊乱。
